Jessica Ann Dewenter, OTR/L | |
19465 Deerfield Ave Ste 405, Leesburg, VA 20176-1707 | |
(703) 858-1805 | |
Not Available |
Full Name | Jessica Ann Dewenter |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 4 Years |
Location | 19465 Deerfield Ave Ste 405, Leesburg, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962088567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0119008920 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Countryside Orthopaedics Pc | 3870558372 | 9 |
Provider Name | Countryside Orthopaedics Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124004296 PECOS PAC ID: 3870558372 Enrollment ID: O20041123001300 |
Mailing Address | Practice Location Address |
---|---|
Jessica Ann Dewenter, OTR/L 19465 Deerfield Ave Ste 405, Leesburg, VA 20176-1707 Ph: (703) 858-1800 | Jessica Ann Dewenter, OTR/L 19465 Deerfield Ave Ste 405, Leesburg, VA 20176-1707 Ph: (703) 858-1805 |
Andrea M Pyle, OTR-L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 224d Cornwall St Nw, Suite 200, Leesburg, VA 20176 Phone: 703-443-2223 Fax: 703-443-2690 | |
Ms. Tammy Lyn Hubbard, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 18289 Tupelo Ridge Ter, Leesburg, VA 20176 Phone: 941-882-2040 | |
Stephanie Dawn Munroe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Suite 500, Leesburg, VA 20176 Phone: 703-858-6667 | |
Erin Shanahan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 44035 Riverside Pkwy, Suite 500a, Leesburg, VA 20176 Phone: 703-858-6667 Fax: 703-858-6665 | |
Jay L Lauer, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 44035 Riverside Pkwy, Suite 500a, Leesburg, VA 20176 Phone: 703-858-6667 Fax: 703-858-6665 | |
Caroline Elisabeth Cohn, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Fort Evans Rd Se, Unit F, Leesburg, VA 20175 Phone: 401-523-4068 | |
Kaitlyn Elizabeth Keck, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19540 Sandridge Way, Leesburg, VA 20176 Phone: 703-723-3870 |